Kansas City Tummy Tuck doctors

Definitively you need a consultation with a board certified plastic surgeon (american Board of Plastic Surgery) for that you will need your operative report and an imaging study (CAT scan) will be the best study to determine if there is any hernia, fluid or just weakness of your upper abdomen, physical exmination is important however in your case, with the history of a previous surgery ( with muscle thightening???) it will be much better to have an concrete image of the abdominal wall.

Good luck

There is quite a bit of variability among plastic surgeons in placement of the abdominoplasty incision.  It is important to place it as low as possible, because the scar has a tendency to migrate up, where it might be visible.  Also, you don't want pubic hair dragged up onto your abdomen, which can happen.  The best shape is a gentle concave saucer-shape that falls in the natural inguinal skin creases, not a W or a straight line.

Experienced plastic surgeons know some tricks to keeping the scar low.  They use an operating table that flexes at the hips to allow the surgeon to maximally pull down the skin flap, without a need for a vertical scar.  I also use deep anchoring sutures to relieve skin tension.  These deep sutures helps with scar quality and work to avoid upward scar migration.  My advice would be to check out the scars on your surgeon's website.  If you don't like them, that is not a good sign.  If they are hidden by clothing, that is not good either.  I don't use staples because I don't want railroad tracks.

With a well-positioned scar, the tradeoff is very favorable (abdominal appearance versus scar) and patient satisfaction is very high. I am attaching a link to this portion of my website.  It is a good idea to look closely at belly button scars too.